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<br />CITY OF ZBlPHYRHIIJLS PERMrr APPldCATION
<br />BUIllDING IHllPARTMlllNT 6335 ath S'fREE'I' ZEPH'iRHIl,IlS, P'L 33540
<br />Phob.la13-78o-Q020 ta~le13-78o~0021
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<br />PI,ANS R)JJVnW JI'!JIi_~_____ ..___ .
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<br />IJElGAL DBl8URIP'I'IDtli LO'r(S)
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<br />BIJOC.!K
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<br />SUBIllVI810t!
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<br />PARC!ElI, In #
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<br />(OBTAIN FROM PROPERTY TAX NnTtCm)
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<br />WORK PRnPBED I []NEW CONS'I'RUCTION
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<br />[JS1Gll
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<br />o ADIJI'rION [] AI/I'ERATION (] RElPAIR [J IN8TArJI.
<br />[J MOVE 0 DErIJot,IsH
<br />r-lt1UUl'I.. FAl1Il,Y [1# OF mH TS [J MOBII,El Hor11l1
<br />[] INDUSTRIAL [J SWlt,1MING POUlJ [] OTHER
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<br />PRO\:lOSEJI1 USEll [JSGIJ F1\MIIJY DWEJLI,IHrj
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<br />[] Cot'l~1ElR(! 1AI,
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<br />C-:::J Rli18'I'AURANT & HElAlml DEPARTt1ElN'I' APPROVAL
<br />DESCRIPTION OF NORK ---ili..c~ ~1 es. .-.----q----.--------_________mm.--'-_________
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<br />8urr.nrNr] Ell ZEl
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<br />SQUAREl FOOTAGE
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<br />BBlIGfl'f
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<br />RE:8H1BlNTIAIJ I
<br />(.!O~1MBlRcrAT, i
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<br />A'I"f1\CH (2) Pl.oT PIJA118 & (2) SElTS OF BUII,lHNtJ PI,ANS & (1.) 8ElT E1NElRrJY FnR~18,
<br />A'f'liAC!H (3) SE'f8 OF BUnnING PLANS & (1) BElT ENElR(3Y FORMS.
<br />PROPERTY SURVElY REQUIRED FOR ALL NElW CONS1'RUCTION.
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<br />[1 81III,IJINr~
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<br />~ERMITS REQUESTED
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<br />$----+L2.0~.__--:. VALUATION OF 'I'OTAIJ CONS'fRtlC'fION
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<br />Ll BllJllJCTR 1 W\l ,
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<br />[] PWt1BING
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<br />U HI!l<JHANH1AIJ
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<br />$.-.--.---------- VAlJUATION OF MECHANCIAT, H18TALIJATTOH
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<br />[] ROUFum
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<br />[.I SPEC!tAUfY
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<br />[I O'I'HER
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<br />TYPEl UP' cJON8'i'RUCTIDN I [J BLOCK
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<br />[J FRAMEl
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<br />lJ STEE1I,
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<br />[] OTHElR
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<br />FINISHBlIl Fl,qOR EI,EVATIONS
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<br />I8 PRO/TEJe'!' IN FLOCHl ZONEl AREl1\ n YElS 0 NO
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<br />BUILrHllR
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<br />Cot1PANL._________ _________ _'_H_.._..H'__,,__ .._ ..._u_____q.._..
<br />STATE CElRT OR REGIST # ___.______.____.._________..__
<br />CITY PROCESSING Il___.______....___.._____._.__ .____________
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<br />Cm1PANY_.__._..___________h______._. _______h _h. ___
<br />STATE CERT OR REGrST ff
<br />CITY PRO('EJ88ING #
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<br />('OM P AlTY - ---.-.-.-----------,--.----n_____._______h____________
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<br />STATE CEJRT OR REGIST # ____.______.._.____....
<br />CITY PROCESSING #
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<br />S WN1\'l'IJR El
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<br />-------~._------_..__._--._,..._-,.~---
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<br />COMPANY --.-------------__._____n_.________.___.__...
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<br />STATE CERT OR REGreT #
<br />CITY PROCESSING #
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<br />SWNA'I'IJ~El
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<br />QTHOIl -.t~__~__. -S-- "O"PANY.-ill~ci0-.e.r:_ (~ocC.~_.______..__.__
<br />. - 8'1'1\1'EJ CERT OR REGrST # S.
<br />SWHA'1'UREl-A.- )'\.. ~~~ ~ CITY PROCESSING # _____=~~~~____ ""J:~__=_~.
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